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1720392079
OCTAVIO NUNEZ
SANTA ROSA, CA
NPI
1720392079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
-- OCTAVIO NUNEZ
183 PYTHIAN RD
SANTA ROSA, CA 95409-6541
Phone number: 707-571-2215
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Mailing Address
-- OCTAVIO NUNEZ
PO BOX 2587
SANTA ROSA, CA 95405-0587
Phone number: 707-571-2215
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